CMS Considers ACO-Style Care Model For Dual Eligibles
Posted on Wednesday, June 24, 2015 9:32 AM
CMS has recently hinted that the agency is considering developing an accountable care organization-type model for beneficiaries who qualify for both Medicare and Medicaid. CMS understands the complexity of creating this type of model but has already begun discussions with some states and providers about the concept.
An ACO for dual eligibles would have to take into account the variety of beneficiaries eligible for both programs. Providers that are used to dealing primarily with healthy, older Medicare beneficiaries may be inexperienced in providing care for beneficiaries with behavioral or mental health challenges.
Experts say that if an ACO-style model for dual eligibles were to be implemented, it should not be mandatory for states.
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